| NPI | 1063570240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 1014) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 698) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2015-06-29 |