| NPI | 1245846195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9702-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 128072) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2021-05-19 |