| NPI | 1548877533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC Pending) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2023-04-18 |