| NPI | 1477838936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007318) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 11477) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2024-02-05 |