| NPI | 1407109952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC 582395737) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007408) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2014-11-24 |