| NPI | 1831297886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 01139) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 991921) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-02-07 |