| NPI | 1104118264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: IA 007445) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 007445) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2018-08-01 |