| NPI | 1104313303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 160236) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 160236) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2025-01-16 |