| NPI | 1356989909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-42413) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-38814) |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2022-08-01 |