| NPI | 1124692629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P012163) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ P012163) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |