| NPI | 1952567828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 206025) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AK DTND222) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2023-05-16 |