| NPI | 1124699061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013890) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009221) |
| 104100000X Social Worker | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2021-07-01 |