| NPI | 1821742362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P017654) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 102264) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2023-11-27 |