| NPI | 1760105597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 013986) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 256850) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-08-12 |