| NPI | 1205365905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015838) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-09974) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2023-04-19 |