| NPI | 1649892456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15723) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 12831) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2023-04-07 |