| NPI | 1831482520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C5975) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C5875) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2019-04-10 |