| NPI | 1063960847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011808) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010947) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2022-08-25 |