| NPI | 1972567295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK CSWS824) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 123800) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-07-05 |