| NPI | 1053758300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ND 5619) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ID LCSW-35774) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2019-05-21 |