| NPI | 1285017657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010951) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009817) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2022-11-17 |