| NPI | 1194072082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10602) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC p007436) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2017-02-02 |