| NPI | 1962044214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC P011976) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C012576) |
| 1041C0700X Social Worker, Clinical (Licence: NC C012576) | |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2022-03-28 |