| NPI | 1114252731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 4802) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 840) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2024-06-06 |