| NPI | 1457390338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SD 2380) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1025400) |
| 1041C0700X Social Worker, Clinical (Licence: SD 2380) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2008-10-02 |