| NPI | 1386751261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7373) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 4443) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2023-11-20 |