| NPI | 1043452279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 12717) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005609) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2018-02-19 |