| NPI | 1487617130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005034A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 5341-C) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2024-05-16 |