| NPI | 1699166256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60655411) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007959A) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2018-11-28 |