| NPI | 1598955932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004530) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 5188) |
| 1041C0700X Social Worker, Clinical (Licence: MD 19174) | |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2021-06-16 |