| NPI | 1487682761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10335) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1055) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-08-23 |