| NPI | 1366517757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 15850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 8510) |
| 1041S0200X Social Worker, School (Licence: LA AN486480) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-06-20 |