| NPI | 1750614137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 06572) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G12545) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2022-06-01 |