| NPI | 1871915686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001640) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 19358) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2018-11-15 |