| NPI | 1164737227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-735) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW004853) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2011-03-15 |