| NPI | 1710300025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34007654A) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2020-11-12 |