| NPI | 1588933626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 11202) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009449) |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2016-03-16 |