| NPI | 1407998180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IA 06427) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 01194) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-03-24 |