| NPI | 1356686067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009471) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10980) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2024-05-06 |