| NPI | 1497194658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24747) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007521A) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00945969) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2024-06-04 |