| NPI | 1407432560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015374) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014555) |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2024-09-06 |