| NPI | 1750695573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 10877139-3502) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2022-06-14 |