| NPI | 1417389016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 6363) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 9749) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2016-12-01 |