| NPI | 1255820650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11506) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009766) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |