| NPI | 1285695353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC 004969) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: C004969) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2019-04-01 |