| NPI | 1003831801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L6351) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: DC LC50078239) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2019-06-14 |