| NPI | 1073816138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 0490C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 255-0490c PIP) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |