| NPI | 1376069930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9930-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 6801101371) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2023-05-26 |