| NPI | 1003195819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60585876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080331-1) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2021-03-29 |