| NPI | 1699544288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11464) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131940) |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2023-12-25 |