| NPI | 1033697644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9385) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 131116) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2020-04-22 |