| NPI | 1114313053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010360) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009097) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2022-07-21 |