| NPI | 1275695124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9097) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 6350) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2021-07-12 |