| NPI | 1164866349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 811425) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10589) |
| 1041C0700X Social Worker, Clinical (Licence: NC C008224) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2025-02-11 |