| NPI | 1184995599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119130) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60807311) |
| 1041C0700X Social Worker, Clinical (Licence: NH 2074) | |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2025-01-02 |