| NPI | 1104547140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P015042) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2023-12-11 |