| NPI | 1750110375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 115533) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 6149) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |