| NPI | 1588335905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 13918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 13918) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2022-02-10 |