| NPI | 1114958915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 12682) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 42555) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-11-18 |