| NPI | 1508421694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017351) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P016424) |
| Enumeration Date | 2019-05-05 |
| Last Update Date | 2024-10-10 |