| NPI | 1659704195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009674) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008145) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2022-08-30 |