| NPI | 1629449277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND ND4882) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2017-03-21 |