| NPI | 1942626171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L2002) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-893) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |