| NPI | 1972172682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c016441) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 16465) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2023-11-08 |