| NPI | 1568793743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-15848) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ME MC12394) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2020-10-12 |