| NPI | 1487037701 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011150) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009635) | 
| Enumeration Date | 2015-07-06 | 
| Last Update Date | 2019-02-07 |