| NPI | 1699836882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 4821) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2003032242) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-06-17 |