| NPI | 1750845962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013880) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013091) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2021-05-04 |