| NPI | 1952868432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 7913) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 11892) |
| 1041C0700X Social Worker Clinical (Licence: DE Q1-0012144) | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2023-08-09 |