| NPI | 1073984514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 3903C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 3366G) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2016-08-02 |