| NPI | 1336634047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013450) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012035) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-11-17 |