| NPI | 1891416830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 131269-121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 12305-123) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2025-06-03 |