| NPI | 1992117378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 3535C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS 11147) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2025-01-14 |