| NPI | 1083940688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 4864) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2018-02-05 |