| NPI | 1518492537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011471) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010534) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2020-04-01 |