| NPI | 1174974018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010647) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2018-07-31 |