| NPI | 1447569884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P006929) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 9534) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2012-01-05 |