| NPI | 1992340012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C016610) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P014272) |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2024-02-28 |