| NPI | 1316651466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PR 15647) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL 16913) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2024-03-05 |