| NPI | 1699372920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015203) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014582) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2024-01-16 |