| NPI | 1871676361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 13413) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 14148) |
| 1041C0700X Social Worker, Clinical (Licence: CO 883) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2025-02-12 |