| NPI | 1154563948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LMSW-28988) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-30777) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2020-07-23 |