| NPI | 1053450478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NV 6221) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 26475) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-04-11 |