| NPI | 1477966638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C009990) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 16118) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2023-11-29 |