| NPI | 1891232765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012395) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011197) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2022-06-03 |