| NPI | 1255341954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006007) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 9995) |
| 1041C0700X Social Worker, Clinical (Licence: NC Coo6007) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2021-07-26 |