| NPI | 1790218915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012252) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MD 22040) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2020-11-25 |