| NPI | 1033435813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO CSW.09925377) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM X-06821) |
| 1041C0700X Social Worker, Clinical (Licence: NM C-08241) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2018-12-17 |