| NPI | 1265668933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 596-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 596123) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2010-10-25 |