| NPI | 1164582276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 98 LMHP 121 LCSW) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 98 LMPH 121 MSW) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-06-16 |