| NPI | 1710466164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013674) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012584) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2021-02-08 |