| NPI | 1194370049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014830) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013269) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2022-04-15 |