| NPI | 1679020812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD LC50082798) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC 23977) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2022-02-14 |