| NPI | 1750688099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 2507) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 08934) |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2021-07-20 |