| NPI | 1336830900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C0166483) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P015627) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-12-22 |