| NPI | 1750879292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013677) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011804) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2023-08-09 |