| NPI | 1619242161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: HI 1851) |
| 1041C0700X Social Worker Clinical (Licence: HI 3835) | |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2023-08-17 |