| NPI | 1902533862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11572-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 132775-121) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2024-02-26 |