| NPI | 1255560876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6358) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 368326-3502) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2015-05-06 |