| NPI | 1215785548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6587) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 123914) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |