| NPI | 1194746503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 06231) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 06231) |
| 1041S0200X Social Worker School (Licence: IA 06231) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-10-26 |