| NPI | 1760764500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007691) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P005509) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2020-10-26 |