| NPI | 1003165200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009215) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P0065555) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2017-02-20 |