| NPI | 1306336714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4309) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC 50081204) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2020-01-16 |