| NPI | 1932514601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012891) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P12112) |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2022-01-31 |