| NPI | 1669125266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 226910) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 9597-M) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |