| NPI | 1780038380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4472C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MS M8271) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2021-01-27 |