| NPI | 1780767293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 2981-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 002788745) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2018-08-29 |