| NPI | 1063892883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 6402) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C8276) |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2015-06-06 |