| NPI | 1063461168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4323) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7600-123) |
| 1041C0700X Social Worker, Clinical (Licence: MN 13306) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-09-13 |