| NPI | 1134662703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 13406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 13406) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2024-04-25 |