| NPI | 1922407956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012081) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW16027) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2019-04-24 |