| NPI | 1487376505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5098C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 8189) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-19 |