| NPI | 1477997864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012754) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009947) |
| 1041C0700X Social Worker, Clinical (Licence: NC C102754) | |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2021-02-02 |