| NPI | 1386072288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11293) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129170-121) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2023-07-20 |