| NPI | 1609114511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 8062-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 127763-121) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2022-01-25 |