| NPI | 1902186836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13618) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-08190) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2023-06-08 |