| NPI | 1134264369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 7705-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 127105121) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-02-07 |