| NPI | 1689165771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 4272C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 3803G) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2022-05-31 |