| NPI | 1811349129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37496) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 8005634-3501) |
| 1041C0700X Social Worker, Clinical (Licence: SD 3558) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2019-08-19 |