| NPI | 1750798724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8518) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 5994) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2022-01-18 |