| NPI | 1356806145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P102764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014690) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2022-05-06 |