| NPI | 1972016277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 5240) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 4755) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2021-08-17 |