| NPI | 1588149660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012823) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 111163-SW-LICSW) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2020-09-29 |