| NPI | 1174807309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008333) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P006538) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2013-10-11 |