| NPI | 1528530193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016346) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012869) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2024-08-19 |