| NPI | 1083939946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22730) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006751) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2021-09-21 |