| NPI | 1306421490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 40307) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L12296) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |