| NPI | 1891710646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 25543) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2006012587) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-12-10 |