| NPI | 1497878144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1040) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 1051) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2021-06-11 |