| NPI | 1821534728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 072639) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 72639) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2023-04-14 |