| NPI | 1881138956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 6518) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008721) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2022-04-25 |