| NPI | 1134710528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: 255709) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 252765) |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-12-02 |