| NPI | 1487054987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011169) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 089987) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2021-03-04 |