| NPI | 1407040850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 0492-0903 C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 0492-0903C) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2013-09-06 |