| NPI | 1417094434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005905) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2017-04-18 |