| NPI | 1568947158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9530-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131211) |
| 1041C0700X Social Worker, Clinical (Licence: WI 9530) | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2025-10-15 |