| NPI | 1750038774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017591) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P017252) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2024-11-05 |