| NPI | 1114536729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM M-11666) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X-11616) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2022-06-14 |