| NPI | 1932452125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009303) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007297) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2023-03-28 |