| NPI | 1497703441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 4958) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992931) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-10-23 |