| NPI | 1104951995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 662) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WY 279) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2022-11-03 |