| NPI | 1245627264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C0011424) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009444) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2023-07-01 |