| NPI | 1215494703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD MD10012) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MD MD10012) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |