| NPI | 1518608363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 5236C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 5079G) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-01-20 |