| NPI | 1427256452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 2236) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 870) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2016-07-14 |