| NPI | 1396211033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013080) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 101064) |
| 1041C0700X Social Worker, Clinical (Licence: MS C10008) | |
| Enumeration Date | 2018-10-21 |
| Last Update Date | 2022-01-25 |