| NPI | 1538304126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010153) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 006365) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2016-09-02 |