| NPI | 1992912422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7686-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 127176) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2022-03-13 |