| NPI | 1285843938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 63124363501) |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 6312436-3502) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2017-04-19 |