| NPI | 1184160970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 38439) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 36202) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2023-02-06 |