| NPI | 1932558194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11148) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-09703) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-02-19 |