| NPI | 1891911822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4140) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C8307) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-05-13 |