| NPI | 1255669909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 008039) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 9016) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2017-01-26 |