| NPI | 1144491606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 4048) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1439) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2012-04-03 |