| NPI | 1851760649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010510) |
| Additional Taxonomies | 104100000X Social Worker (Licence: DC LG50080986) |
| 104100000X Social Worker (Licence: MD 20225) | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2016-12-02 |