| NPI | 1497248157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9511-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131066-121) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-01-02 |