| NPI | 1457505901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1040) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 699) |
| 1041C0700X Social Worker, Clinical (Licence: IA 01068) | |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |