| NPI | 1861906026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P012851) |
| Additional Taxonomies | 104100000X Social Worker |
| 225XH1300X Occupational Therapist, Human Factors | |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2022-01-13 |