| NPI | 1588833172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA 006283) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7299) |
| 1041C0700X Social Worker, Clinical (Licence: TN 0360) | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2019-02-11 |