| NPI | 1013447960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012726) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011599) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-06-02 |