| NPI | 1730626144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14018) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-06-04 |