| NPI | 1477626471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 2405C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 3635B) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2018-03-21 |