| NPI | 1902584709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11584-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 132369-121) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-05-06 |