| NPI | 1457467516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C000287) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW0001709) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |