| NPI | 1376945659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P016265) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009211) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2021-06-15 |