| NPI | 1629402888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-37178) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 33040) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2018-06-27 |