| NPI | 1790337996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014175) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013507) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2022-03-07 |