| NPI | 1124213491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005853) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC302700) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2024-04-24 |