| NPI | 1407897507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 6507) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 006507) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-03-15 |