| NPI | 1255493847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C005404) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC COO5404) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2019-02-25 |