| NPI | 1750338703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8084) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 4455C) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-08-24 |