| NPI | 1518263235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8647) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006578A) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2021-12-21 |