| NPI | 1437400777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12809) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72087071) |
| 1041C0700X Social Worker, Clinical (Licence: CA 68172) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2023-03-29 |