| NPI | 1124481981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C011025) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P009969) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2019-09-23 |