| NPI | 1164932190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012654) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012017) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2024-07-09 |