| NPI | 1902534134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P017904) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-12-23 |