| NPI | 1700367133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 43915) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 11939680-3501) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2024-06-27 |