| NPI | 1497316665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-42821) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW33814) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2022-11-22 |