| NPI | 1639790876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014986) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014387) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2022-06-27 |