| NPI | 1447572508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 13385) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992150) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2020-05-28 |