| NPI | 1447776679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11712) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013446) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2021-04-27 |