| NPI | 1285278572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 6790474-3502) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2023-07-26 |