| NPI | 1801368774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012889) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-06-14 |