| NPI | 1942605985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10787) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CO.09923872) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2020-10-23 |