| NPI | 1528686813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11146-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131941-121) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2023-03-02 |