| NPI | 1417907387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9527-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 15362) |
| 1041C0700X Social Worker, Clinical (Licence: AZ 17785) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-02-17 |