| NPI | 1598153488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013265) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 11226) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2024-07-10 |