| NPI | 1396025755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9241-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118615) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2021-06-28 |