| NPI | 1831143098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD LC50077845) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 12269) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2023-01-24 |