| NPI | 1528483096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 5128) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 1761) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2023-03-22 |