| NPI | 1497165328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001220) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 55036) |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW005110) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2014-04-30 |