| NPI | 1619586542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 095561) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 095561) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2022-12-13 |