| NPI | 1700298924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 36902) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW 1513) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2019-01-18 |