| NPI | 1699053314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 126889-121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7834-123) |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2015-05-21 |