| NPI | 1053516526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C007534) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34005832A) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2012-08-30 |