| NPI | 1770714057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT SWP-LCSW-LIC-4599) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 1142) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2023-10-18 |