| NPI | 1083082861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011495) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-10308) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2019-08-26 |