| NPI | 1780297572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5227C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 16624) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2023-08-02 |