| NPI | 1184380966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 1971039) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-12228) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2024-12-12 |