| NPI | 1235444837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007776) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P005779) |
| 1041C0700X Social Worker, Clinical (Licence: NC 1861) | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2012-07-24 |