| NPI | 1740640473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011503) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008972) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2022-04-11 |