| NPI | 1124279906 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI LCSW4375)  | 
| Enumeration Date | 2008-10-09 | 
| Last Update Date | 2024-04-19 |