| NPI | 1376391920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT 45324) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA 61099616) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |