| NPI | 1174635577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006493) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 15735) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-11-19 |