| NPI | 1821012931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13958) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G11748) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-04-04 |