| NPI | 1124672969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11131-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 127443) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2023-03-15 |