| NPI | 1215659594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 11989-123) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-10-10 |