| NPI | 1073053591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012113) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011250) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2021-05-14 |