| NPI | 1174168389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9935-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131461) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2023-05-24 |