| NPI | 1851418925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AZ 11917) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: UT 138565-3501) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2022-12-02 |