| NPI | 1467754499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000863) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW002276) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2013-10-03 |