| NPI | 1104124445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6211) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-30413) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2020-09-14 |