| NPI | 1649629700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-38063) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-27529) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-09-30 |