| NPI | 1194215855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C012935) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C012935) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2023-12-18 |