| NPI | 1336960194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1566) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 4517) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-10-23 |