| NPI | 1225586555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010684) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2021-08-17 |