| NPI | 1245495027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 06512) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 06512) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-11-07 |