| NPI | 1780305060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-8911134) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 8911134) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2024-11-15 |