| NPI | 1073238606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7198) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 6785986-3501) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |