| NPI | 1659651743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-33583) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-30598) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2017-01-25 |