| NPI | 1003365511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012269) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010526) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2022-12-23 |