| NPI | 1871637066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 9469) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 9469) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2018-02-02 |