| NPI | 1376892158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5062C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 2634G) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2022-08-04 |