| NPI | 1821537127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9948-123) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 3924-23) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2022-10-04 |