| NPI | 1598053134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005616) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 124588) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2024-10-10 |