| NPI | 1295828366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY 567) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: ND 2745) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-04-02 |