| NPI | 1922644848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 9801-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131102) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2022-12-15 |