| NPI | 1912475187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL 18088) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 223138) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2021-02-19 |