| NPI | 1780391250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11318-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 1109-122) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2023-06-22 |