| NPI | 1770959736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MS C9488) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: LA 10097) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2021-08-30 |