| NPI | 1295226702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11215-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 128975) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2023-04-12 |