| NPI | 1134370067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: UT 70663633502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 70663633501) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2011-01-18 |