| NPI | 1790337053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14987) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 254173) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2022-05-13 |