| NPI | 1306229026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37483) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-33029) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-05-24 |