| NPI | 1871940239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C011751) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P009887) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2018-11-26 |