| NPI | 1194273888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 130301-121) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2023-11-13 |