| NPI | 1851133383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6703) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SD 6253) |
| 104100000X Social Worker (Licence: IA 106597) | |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-12-02 |