| NPI | 1073953980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P008699) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 079898) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2014-04-29 |