| NPI | 1619261492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC 0904008265) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006625) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2024-06-17 |