| NPI | 1205080579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C7469) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 50329043501) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2008-11-13 |