| NPI | 1063844645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 1772) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NE 1700) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2022-02-28 |