| NPI | 1104918424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: UT 5276467-3501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 5276467-3503) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2023-05-10 |