| NPI | 1225804917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16447) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C016973) |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2024-07-24 |