| NPI | 1770101909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C015682) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014749) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2023-06-08 |