| NPI | 1801215108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8099) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 5314C) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-07-24 |