| NPI | 1306205307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011423) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 18809) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2018-04-20 |