| NPI | 1851838932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9771-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09923275) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2021-09-17 |