| NPI | 1538503107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P008671) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 9245) |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2015-07-02 |