| NPI | 1609041375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7688-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 127144121) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2017-01-09 |