| NPI | 1154840015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 23239) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 23239) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2022-06-03 |