| NPI | 1780350876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 13776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 009525) |
| 1041C0700X Social Worker, Clinical (Licence: NC P016113) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-09-15 |