| NPI | 1386688224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM I-06754) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-04786) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-06-13 |