| NPI | 1154480150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 5195) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7521) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2010-01-07 |