| NPI | 1033145214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 56753283501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 5675328-3502) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2009-04-09 |