| NPI | 1609510155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 2640) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: PR 416) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-04-21 |