| NPI | 1790483162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016939) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11907574-3501) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2024-03-07 |