| NPI | 1023440831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 8356397-3503) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8356397-3501) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2021-03-23 |