| NPI | 1669149506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20296) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014221) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-12-14 |