| NPI | 1457499824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 5076) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 6983) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2015-12-08 |