| NPI | 1588330120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11368-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131903) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2023-08-07 |