| NPI | 1609281831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-09740) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-08913) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2016-12-14 |