| NPI | 1851731491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: ID LCSW - 35270) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-33034) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2015-12-30 |