| NPI | 1235557570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15403) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 15403) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2022-11-21 |