| NPI | 1730857855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 125437) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 224650) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2023-04-24 |