| NPI | 1295035822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P005072) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 8085) |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |