| NPI | 1962993113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013463) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C103463) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2021-02-02 |