| NPI | 1225302565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 128596121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 8235-123) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2015-05-21 |