| NPI | 1841429800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 66958) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05524600) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2021-07-13 |