| NPI | 1063848471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008758) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC 007056A) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2023-01-23 |