| NPI | 1659702249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P015985) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007439) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2022-05-03 |