| NPI | 1760933147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 10496) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C8693) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2023-01-31 |