| NPI | 1972659316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16452) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G12494) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2024-07-12 |