| NPI | 1679701205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 126155) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS 10162) |
| 1041C0700X Social Worker, Clinical (Licence: TN 7961) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 007174) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2023-04-24 |