| NPI | 1518638071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID 8861558) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-40597) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2024-11-27 |