| NPI | 1942716006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OK 8102) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OK 5165) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2022-07-20 |