| NPI | 1104478346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012838) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081191) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2020-07-09 |