| NPI | 1962986216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012864) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118386) |
| 1041S0200X Social Worker, School (Licence: MA 505956) | |
| Enumeration Date | 2018-09-22 |
| Last Update Date | 2024-04-04 |