| NPI | 1891102125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7594) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-33922) |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-37213) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2020-02-12 |