| NPI | 1700510732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018346) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P017906) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2025-04-21 |