| NPI | 1578132494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5139) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 14335) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2024-02-02 |