| NPI | 1023108198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1030) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 125) |
| 1041C0700X Social Worker, Clinical (Licence: KS 6683) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-07-25 |