| NPI | 1720340797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010423) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12857) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-04-24 |