| NPI | 1306356696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7268) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C012713) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2023-04-18 |