| NPI | 1669983805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012885) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011814) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2023-05-09 |