| NPI | 1508967944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 6902) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 18030) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-03-19 |