| NPI | 1952584260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 2774-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 2774) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2021-05-21 |