| NPI | 1225460819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7228) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2017003783) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2021-06-22 |