| NPI | 1164860094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 80175193501) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2014-09-25 |