| NPI | 1740562099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5138C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 3801) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2023-01-16 |