| NPI | 1699269282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9779-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 10845) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2021-10-15 |