| NPI | 1790147171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012474) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 11457) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2021-08-10 |