| NPI | 1528175650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12430) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005213) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-03-24 |