| NPI | 1346432374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008008) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 7420-C) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2017-02-28 |