| NPI | 1336549054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8361) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 3599C) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2017-05-05 |