| NPI | 1154823482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 9618-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 130278-121) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2022-01-12 |