| NPI | 1154693877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002586) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC 6003027) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2024-09-30 |