| NPI | 1912388737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010904) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P009724) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2017-07-07 |