| NPI | 1801168828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4390) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 4390) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2017-03-17 |