| NPI | 1770891848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-34679) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8082877-3501) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2016-11-10 |