| NPI | 1609329622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 081504) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 081504) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2019-06-04 |