| NPI | 1962196790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 0009925342) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-03-19 |