| NPI | 1053980425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 15882) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C015763) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2024-01-15 |