| NPI | 1710592985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c017446) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC p016879) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2024-11-12 |