| NPI | 1609326826 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P010744) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: P010744) | 
| Enumeration Date | 2016-10-12 | 
| Last Update Date | 2019-01-25 |