| NPI | 1497357222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AP00943246) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV AP00943246) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2023-12-04 |