| NPI | 1760735682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 66438) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 189560) |
| 104100000X Social Worker | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2023-12-01 |