| NPI | 1710255468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008573) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P006867) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2021-12-06 |