| NPI | 1366864928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3807) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 29028) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |