| NPI | 1053354027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MS C5392) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C5392) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-12-01 |