| NPI | 1437643673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12440) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14788) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |