| NPI | 1053424341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC C003329) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C003329) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-08-30 |