| NPI | 1144661463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-35402) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW 33036) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2016-03-25 |