| NPI | 1750615001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW-32625) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-29502) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2021-09-23 |