| NPI | 1194310573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN TN8700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M9743) |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2023-09-29 |