| NPI | 1205384021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A 3800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8315904-3502) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |