| NPI | 1033178991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007001) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1024829) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2011-03-23 |