| NPI | 1366831489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010856) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 10712) |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2024-02-21 |