| NPI | 1508391939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 2589) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 087130) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2022-01-24 |