| NPI | 1811910045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2003032217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34009825A) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-04-28 |