| NPI | 1265735005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3857) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 16054) |
| 104100000X Social Worker (Licence: HI 1909) | |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2014-09-18 |