| NPI | 1578705950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4499) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 858LCSW) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2018-11-19 |