| NPI | 1265782221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 3728C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 2728G) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2022-07-04 |