| NPI | 1780012872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009914) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P008494) |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2019-06-28 |