| NPI | 1275027948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012616) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-01-31 |