| NPI | 1396321972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC61098822) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 6045) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-09-20 |