| NPI | 1235570797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 119784) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AK 437) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2020-10-15 |