| NPI | 1285000380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 36922) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 10373) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2019-08-23 |