| NPI | 1346759958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: 007004) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 007004) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2021-06-10 |