| NPI | 1972963171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 11905-123) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2025-02-18 |