| NPI | 1629444229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011440) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33007056A) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2018-12-14 |