| NPI | 1699269977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013187) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012614) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-04-01 |