| NPI | 1992175574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8820) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129795121) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2023-05-16 |