| NPI | 1922537828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012414) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011534) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2020-06-08 |