| NPI | 1194059402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 076487) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WY 664) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2023-10-09 |