| NPI | 1114968864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2098c) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 005855) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2012-07-10 |