| NPI | 1770097388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014237) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012126) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2021-10-24 |