| NPI | 1053707968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1856) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 076681) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1728) | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2021-02-01 |