| NPI | 1013054105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009929) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 0598-1586C) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2024-02-02 |