| NPI | 1720448111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011874) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009014) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2019-05-20 |