| NPI | 1477852150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012094) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 67137) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2019-11-29 |