| NPI | 1073764593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25644) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD 25644) |
| 104100000X Social Worker | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2024-10-02 |