| NPI | 1871946178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS M8850) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2024-02-09 |