| NPI | 1942851803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 13893) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 12267) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2020-10-09 |