| NPI | 1912367715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-36372) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 31456) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2018-10-05 |