| NPI | 1144769910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 14120) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 14120) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2021-03-11 |