| NPI | 1578796017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7097) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW639) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2024-07-16 |