| NPI | 1851845143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014749) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010310) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2022-04-13 |