| NPI | 1336409499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 22426) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2023-04-06 |