| NPI | 1821443755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 6976-C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM I-05744) |
| 1041C0700X Social Worker Clinical (Licence: LA 4100) | |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |