| NPI | 1356496574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37436) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 3019-C) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-09-20 |