| NPI | 1629662655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016225) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P015497) |
| Enumeration Date | 2021-02-20 |
| Last Update Date | 2024-02-09 |