| NPI | 1255493250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1707) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 9261) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2021-08-05 |