| NPI | 1619396645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009031) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22619) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2024-05-15 |