| NPI | 1386290146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014831) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013398) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2022-03-26 |