| NPI | 1790385326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014947) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014239) |
| Enumeration Date | 2020-11-01 |
| Last Update Date | 2023-11-14 |