| NPI | 1376955468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC LICENSEC010560) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P007987) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2023-01-13 |