| NPI | 1942651377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23579) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 23579) |
| 104100000X Social Worker (Licence: CA 71587) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2021-01-28 |