| NPI | 1316257579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 5280) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 5223046-6004) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |