| NPI | 1508138074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14225) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C6791) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2022-04-29 |