| NPI | 1861052789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 130440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09926775) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2021-09-18 |