| NPI | 1407067994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 2922) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 2922) |
| 1041C0700X Social Worker, Clinical (Licence: ND 2922) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2016-04-20 |