| NPI | 1508965906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7270) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 7270123) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-01-27 |