| NPI | 1093760803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NE 2751) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 1119) |
| 1041C0700X Social Worker, Clinical (Licence: NE 1282) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-03-03 |