| NPI | 1114379088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P012341) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 98456893502) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2018-07-18 |