| NPI | 1275013773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4431C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 4261G) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2020-03-31 |