| NPI | 1750532578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007134) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 007134) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2024-04-11 |