| NPI | 1659945160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C016219) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P015989) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2023-08-15 |