| NPI | 1962182345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041S0200X Social Worker School |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: OR 18624) | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |