| NPI | 1487481735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8851960) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 37304) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-11-11 |