| NPI | 1215506134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SD 6499) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SD 5225) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2024-12-04 |