| NPI | 1114987310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005990) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P003514) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2015-06-09 |