| NPI | 1972041317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9087-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 130523-121) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2023-10-16 |