| NPI | 1427475060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 008417) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 5104) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2020-04-08 |