| NPI | 1558468355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005015A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 53577) |
| 1041C0700X Social Worker, Clinical (Licence: OR L7170) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-03-25 |