| NPI | 1881186401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 090957) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 11089-123) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2024-04-04 |