| NPI | 1255835195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW43175) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW37316) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-07-24 |