| NPI | 1952019150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 15666) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 13003) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-12-08 |