| NPI | 1205535192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A15653) |
| Additional Taxonomies | 104100000X Social Worker (Licence: HI LSW3055) |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2024-10-10 |