| NPI | 1578101580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P018426) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 13015) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2022-12-12 |