| NPI | 1710138896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C010595) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NV 5635-S) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904008814) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2017-03-08 |