| NPI | 1316470446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6194) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17216) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |