| NPI | 1073963906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011918) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010634) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2019-10-04 |