| NPI | 1093107831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012442) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-08631) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2022-09-12 |