| NPI | 1437594397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 110623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8590184-3501) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2024-05-07 |