| NPI | 1558603134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-38616) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-32694) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2020-04-21 |