| NPI | 1629447503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011364) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010026) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2018-09-25 |