| NPI | 1063116556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11796) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 134113) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2025-02-18 |