| NPI | 1427080639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011131) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10794) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-12-03 |