| NPI | 1821348970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 12399) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL 2478C) |
| 1041C0700X Social Worker Clinical (Licence: NV 7183-C) | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2019-12-02 |