| NPI | 1700379955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007356) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 6633) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2024-04-23 |