| NPI | 1992248074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC CO12158) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P010943) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2024-04-02 |