| NPI | 1417267311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007677) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 5199) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2012-06-21 |