| NPI | 1689327710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P016393) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P0916393) |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2022-08-25 |