| NPI | 1114104817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008449) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: NC C008449) | |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2020-08-14 |