| NPI | 1467908103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 161210) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-09705) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-06-15 |