| NPI | 1265005037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR A13947) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-09-04 |