| NPI | 1699958256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1798) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 51900) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2024-05-30 |