| NPI | 1013143841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008241) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW11213) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2019-09-05 |