| NPI | 1740671056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011408) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 65243) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2019-02-26 |