| NPI | 1679120521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4979c) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 3958G) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2023-01-25 |