| NPI | 1710378765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009320) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC Coo9320) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2024-06-28 |