| NPI | 1013003714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 148303) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008221) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60115640) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-02-01 |