| NPI | 1740041250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5710G) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 15417) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |