| NPI | 1205844172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10074) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005551) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2016-10-31 |