| NPI | 1255984464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014496) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013464) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2021-11-15 |