| NPI | 1295596450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017109) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016260) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-09-26 |