| NPI | 1477823581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1390) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 008111) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2015-05-13 |