| NPI | 1851789150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9713-123) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: NC C017043) | |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2025-03-17 |