| NPI | 1518343094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010956) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009944) |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2017-08-08 |