| NPI | 1265462477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007224) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113551) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-03-12 |