| NPI | 1558783811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 4511) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MT 4511) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2020-03-24 |