| NPI | 1598168122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC sw9714cp) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA csw004428) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2020-03-24 |