| NPI | 1063875706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 13147) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007587) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-06-27 |