| NPI | 1811500358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 10108123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131298-121) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-01-06 |