| NPI | 1104958578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 6505) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 6505) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2023-10-03 |