| NPI | 1124864533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 16328) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5594C) |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2024-07-04 |