| NPI | 1508449208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015555) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC CO15555) |
| 1041C0700X Social Worker, Clinical (Licence: NC p014297) | |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2024-08-08 |