| NPI | 1720773047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 2106) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 5783) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |