| NPI | 1568656064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 8965) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW12629) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2022-11-16 |