| NPI | 1982146304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012868) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011046) |
| 1041C0700X Social Worker, Clinical (Licence: NC C011996) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 90889) | |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2021-06-17 |