| NPI | 1316439375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013305) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012428) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-09-13 |