| NPI | 1457317505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C006620) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN CSW0000006862) |
| 104100000X Social Worker (Licence: NC P002883) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2009-11-30 |