| NPI | 1568698470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LW 60304012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: C007121) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2021-08-21 |