| NPI | 1861741530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 12086) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P006945) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2019-08-02 |