| NPI | 1184084758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA 60606452) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 088326-1) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |