| NPI | 1598747305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR L12575) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW10658) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2021-08-13 |