| NPI | 1528504206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-39491) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-36683) |
| 104100000X Social Worker (Licence: ID LSW-35782) | |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2020-03-19 |