| NPI | 1114144664 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MD 19777)  | 
| Enumeration Date | 2007-04-19 | 
| Last Update Date | 2024-03-12 |