| NPI | 1205104999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 8855) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 4675) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2016-06-22 |