| NPI | 1245545342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 7459C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KS 7866) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2020-10-07 |