| NPI | 1174992879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011453) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC p010062) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2022-03-03 |