| NPI | 1760128078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 15064) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 15064) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2023-11-07 |