| NPI | 1457769648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 3944C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 3507G) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2016-12-07 |