| NPI | 1508044413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 1790C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 7036) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |