| NPI | 1952301970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 1890) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 21998) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2025-01-23 |