| NPI | 1588980403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 7664) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34005989) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2021-08-11 |