| NPI | 1063869295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37256) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW 33073) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2022-04-06 |