| NPI | 1013326677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010414) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14278) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2019-12-24 |