| NPI | 1336686583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P010936) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011758) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2023-08-03 |