| NPI | 1700210978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4186C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 116341) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2018-10-18 |