| NPI | 1427352137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 912-123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO 699) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2023-01-25 |