| NPI | 1790021681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 8347) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 8347) |
| 1041S0200X Social Worker, School (Licence: LA 8347) | |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2023-09-21 |