| NPI | 1235304916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1091) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1238) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2021-11-08 |