| NPI | 1023261401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 6101-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 06796) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2015-10-30 |