| NPI | 1629441811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P014474) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P014474) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2022-03-02 |