| NPI | 1366979486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-31214) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 6409) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2018-02-09 |