| NPI | 1164767778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C2562) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 2999) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2012-12-07 |