| NPI | 1629731971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC PO13438) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2023-03-28 |