| NPI | 1821380817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-33332) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-28694) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2013-10-29 |