| NPI | 1982379723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 132818-121) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 13072-120) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2025-04-11 |