| NPI | 1821455072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 18418) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 14309) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2021-10-27 |