| NPI | 1558743930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010898) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009651) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-04-19 |