| NPI | 1063039162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015137) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014832) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2022-08-12 |