| NPI | 1043638554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC C008641) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 5288) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2021-12-27 |