| NPI | 1467507962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 3467) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 6593) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-12-17 |