| NPI | 1770006439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013039) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011803) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2021-12-28 |