| NPI | 1306123328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS c7227) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 5775502-3501) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |