| NPI | 1972849420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 9533) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008805) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2019-02-20 |