| NPI | 1720773070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258646) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34010160A) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2024-03-05 |