| NPI | 1376978494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009651) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P008362) |
| 1041C0700X Social Worker, Clinical (Licence: NC P008362) | |
| 1041S0200X Social Worker, School (Licence: NC 1183745) | |
| 1041S0200X Social Worker, School (Licence: NC P008362) | |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2021-01-21 |