| NPI | 1386755023 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: ND 2020)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ND 2020)  | 
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2010-03-03 |