| NPI | 1962564914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13854) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 15804) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2022-01-10 |