| NPI | 1992399877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-40737) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-38276) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-06-30 |