| NPI | 1568891018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1483) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 1611) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2015-12-31 |