| NPI | 1205852886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 677-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 677) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-11-01 |