| NPI | 1134296809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7032) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 6367) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-08-14 |