| NPI | 1407297062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-39836) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-32902) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2023-03-13 |