| NPI | 1053398545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 7112-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 7112123) |
| 1041C0700X Social Worker, Clinical (Licence: WI 7112-123) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2011-06-08 |