| NPI | 1245510254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117974) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-07903) |
| 104100000X Social Worker (Licence: NM X-07396) | |
| 1041C0700X Social Worker, Clinical (Licence: NH 3037) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2023-11-02 |