| NPI | 1528443553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 12558) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C010449) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2021-12-29 |