| NPI | 1750948634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014340) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013437) |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2023-09-18 |