| NPI | 1730594144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012078) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 19740) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2019-07-29 |