| NPI | 1700126216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008401) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P006480) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2019-08-06 |