| NPI | 1154929552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC p015344) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2023-04-03 |