| NPI | 1528405222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 8572474-3502) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW - 32929) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2014-01-13 |