| NPI | 1568702082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008992) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007421) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2020-11-25 |