| NPI | 1952839045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11151) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 130495) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2024-01-30 |