| NPI | 1467944769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC CO12573) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 121442) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2024-04-18 |