| NPI | 1871350181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 6570G) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 16631) |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |