| NPI | 1457654246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 3786) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 7815322-3501) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2011-07-14 |