| NPI | 1144583790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011229) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW6686) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2021-05-06 |