| NPI | 1811669765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11603-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 33009525A) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2025-01-31 |