| NPI | 1184211203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C013852) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P012809) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-10-27 |