| NPI | 1124480256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C008780) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008780) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-10-27 |