| NPI | 1164299889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016492) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 16494) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2024-05-03 |