| NPI | 1982755609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1664) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 3014) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-11-01 |