| NPI | 1063932432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012409) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011653) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2020-05-19 |