| NPI | 1902274533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010893) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 13370) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2024-07-02 |