| NPI | 1023060159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C000495) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC 495) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-07-28 |