| NPI | 1538699574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013367) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC p011463) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-05-12 |