| NPI | 1770974503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 4676) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 3069) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2022-04-19 |