| NPI | 1649308677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID 39885) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 71546) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2024-08-08 |