| NPI | 1467865675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 10750) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2022-06-28 |