| NPI | 1215154877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 535) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 2441) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2012-11-20 |