| NPI | 1134593437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: NE 7059) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 080065) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2018-09-26 |