| NPI | 1023124195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR OR 3427) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: HI LCSW-3120) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2011-10-29 |