| NPI | 1093748915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1307) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 040255-21) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-03-29 |