| NPI | 1174265987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017075) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P015095) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2024-11-11 |