| NPI | 1073110912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 4766) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 1641) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |