| NPI | 1871856179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 146987) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MO 2012018404) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2014029682) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2019-11-12 |