| NPI | 1366872921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 090693) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 6246475-3502) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2022-03-24 |