| NPI | 1780196063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 5076C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL 3757G) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2022-06-27 |