| NPI | 1619586997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 11019-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131907-121) |
| 104100000X Social Worker (Licence: WI 11019-123) | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2022-11-22 |