| NPI | 1093372674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014755) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013359) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2022-03-01 |