| NPI | 1740848365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P013440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C013974) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2021-10-27 |