| NPI | 1245716315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013619) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012439) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2022-02-24 |