| NPI | 1528015393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 8652) |
| 1041C0700X Social Worker Clinical (Licence: CA 74615) | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-03-24 |