| NPI | 1114583275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012365) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011391) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2021-06-30 |