| NPI | 1619405677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013790) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 22732) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2021-06-30 |