| NPI | 1235455460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 1194) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 24432) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2010-04-13 |