| NPI | 1902155708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 1987C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2019-10-03 |